Healthcare Analytics for Quality and Performance Improvement

Praise for Healthcare Analytics "Trevor Strome's new book Healthcare Analytics is a thorough and accessible guide to all healthcare organizations on how to improve their analytics maturity and patient care. Trevor's comprehensive understanding of healthcare and what is possible with analytics bridges a gap few have dealt with before. Healthcare Analytics is an essential guide for every healthcare organization regardless of where they are on their analytics journey." —Laura Madsen, MS, BI Evangelist and Healthcare Services Lead, Lancet Software; author of Healthcare Business Intelligence: A Guide to Empowering Successful Data Reporting and Analytics "Analytics is becoming a mission crucial tool that informs decision making at all levels of the healthcare organization. This insightful book explores the critical role healthcare analytics will play in quality and performance improvement." —Waco Hoover, MBA, Chief Executive Officer, Institute for Health Technology Transformation "Finally, someone who really knows the importance of healthcare analytics writes a book that is a must-read for every healthcare board member. The main reason healthcare is in such a mess today is that healthcare governing bodies are not insisting on measuring what goes on in their institutions. This easy-to-read book will enlighten any leader/manager/supervisor with a keen interest in quality improvement to take the necessary next bold steps and fix these ailing organizations that are wasting millions of dollars and harming patients. Bravo, Trevor Strome, for offering a way forward." —Louis Hugo Francescutti, MD, PhD, FRCPC, FACPM, ICD-D, CCPE, MPH, FRCP(Ire.), FRCP(Edin.) Professor, University of Alberta, Emergency & Preventive Medicine Physician "Trevor Strome succeeds in placing the analytics practitioner as an integral member of the healthcare team. In this book, he identifies that the attributes leading to successful implementation of analytics are complex and multidisciplinary, and yet, does this in a simple and logical format. It reflects his successful interaction with clinical providers and a deep understanding of their roles." —R. Lobato de Faria, Chief Medical Officer, SOGH "Strome's book is timely, relevant, and essential reading for healthcare administrators and the increasingly large number of healthcare professionals involved in medical informatics. It is an excellent and highly intelligent introduction to the powerful field of healthcare analytics, and clarifies the processes required to improve both quality and health outcomes." —Dr. Diamond Kassum, MA, MB, BChir, FRCS, FRCSC, Chief Medical Information Officer, Manitoba eHealth

Preface ix Acknolwedgments xiii CHAPTER 1 Toward Healthcare Improvement Using Analytics 1 Healthcare Transformation—Challenges and Opportunities 1 The Current State of Healthcare Costs and Quality 3 CHAPTER 2 Fundamentals of Healthcare Analytics 15 How Analytics Can Improve Decision Making 15 Analytics, Quality, and Performance 17 Applications of Healthcare Analytics 19 Components of Healthcare Analytics 21 CHAPTER 3 Developing an Analytics Strategy to Drive Change 29 Purpose of an Analytics Strategy 29 Analytics Strategy Framework, with a Focus on Quality/Performance Improvement 32 Developing an Analytics Strategy 47 CHAPTER 4 Defining Healthcare Quality and Value 51 What Is Quality? 51 Overview of Healthcare QI 59 Common QI Frameworks in Healthcare 61 Working with QI Methodologies 73 CHAPTER 5 Data Quality and Governance 75 The Need for Effective Data Management 76 Data Quality 78 Data Governance and Management 84 Enterprise–wide Visiblilty and Opportunity 88 CHAPTER 6 Working with Data 91 Data: The Raw Material of Analytics 92 Preparing Data for Analytics 92 Getting Started with Analyzing Data 100 Summary 112 CHAPTER 7 Developing and Using Effective Indicators 115 Measures, Metrics, and Indicators 115 Using Indicators to Guide Healthcare Improvement Activities 123 CHAPTER 8 Leveraging Analytics in Quality Improvement Activities 129 Moving from Analytics Insight to Healthcare Improvement 129 CHAPTER 9 Basic Statistical Methods and Control Chart Principles 145 Statistical Methods for Detecting Changes in Quality or Performance 145 Graphical Methods for Detecting Changes in Quality or Performance 153 Putting It Together 160 CHAPTER 10 Usability and Presentation of Information 165 Presentation and Visualization of Information 165 Dashboards for Quality and Performance Improvement 173 Providing Accessibility to and Ensuring Usability of Analytics Systems 180 CHAPTER 11 Advanced Analytics in Healthcare 183 Overview of Advanced Analytics 183 Applications of Advanced Analytics 186 Developing and Testing Advanced Analytics 190 Overview of Predictive Algorithms 197 CHAPTER 12 Becoming an Analytical Healthcare Organization 205 Requirements to Become an Analytical Organization 207 Building Effective Analytical Teams 213 Summary 215 About the Author 217 About the Companion Web Site 219 Index 221  

TREVOR L. STROME, MSc, PMP, is the Analytics and Process Improvement Lead for the Winnipeg Regional Health Authority Emergency Program. He is also Assistant Professor in the Department of Emergency Medicine, Faculty of Medicine, University of Manitoba, where he participates in clinical and operations research projects and teaches statistics, informatics, and quality improvement. Trevor has coauthored three book chapters and numerous articles on healthcare topics. He is an in-demand conference speaker and the founder and editor of a popular blog on the topic of healthcare analytics.